在捷克共和国，全科医生使用选定的即时检验方法。

Using selected POCT methods by general practitioners in the Czech Republic.

出版信息

Cas Lek Cesk. 2021 Fall;160(5):185-192.

Abstract

Point-of-care tests allows for the more effective and rapid diagnosis of acute conditions, better management of chronic disease and the rational use of prescribed medicines. The use of selected non-mandatory tests was analysed in relation to their availability across urban and rural general medical practices in Czechia. Data for 2016 were obtained from the largest health insurance company in Czechia. To categorise the different types of surgery, a spatial model was created applying the OECD regional typology to primary care in Czechia. International normalised ratio (INR) was the most commonly available test, with 53.1 %. In acute care, C-reactive protein (CRP) testing was most extensively present, with 50.9 %. In practice, though, 90 % of these surgeries performed these tests. Both INR and CRP accounted for 42.7 %, whereas 61.3 % used at least one. Contracts of haemoglobin A1c amounted 14.8 %, 38.6 % of practices were not contracted to perform any of three tests, and 43.4 % reported no usage at all. Around half of all general practitioners in Czechia are contracted to provide the most popular non-mandatory point-of-care tests. Reported usage differed among the various surgery typologies, with more peripheral surgeries reporting higher rates.

摘要

即时检测可更有效地快速诊断急性病症，更好地管理慢性病，并合理使用处方药物。本研究分析了在捷克城乡普通医疗实践中，各种非强制性检测的使用情况，及其与检测的可及性之间的关系。本研究的数据来自捷克最大的健康保险公司，针对不同类型的手术，我们应用经合组织（OECD）对捷克初级保健的区域分类法创建了一个空间模型。国际标准化比值（INR）是最常用的检测项目，占 53.1%。在急性护理中，C 反应蛋白（CRP）检测的应用最为广泛，占 50.9%。然而，在实践中，90%的手术都进行了这些检测。INR 和 CRP 共占 42.7%，而至少使用其中一种的占 61.3%。血红蛋白 A1c 的合同占 14.8%，38.6%的诊所未签订合同进行任何三种检测，43.4%的诊所根本没有使用过这些检测。捷克约有一半的全科医生签订了提供最受欢迎的非强制性即时检测的合同。不同手术类型的报告使用率存在差异，外围手术的报告使用率更高。